| NPI | 1316558182 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMI BAIG President 708-424-9405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 261QM1300X Clinic/Center Multi-Specialty |
| Enumeration Date | 2020-08-13 |
| Last Update Date | 2021-02-07 |